GREAT LAKES VEIN CENTER
NPI 1487760427
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portage, MI

Q: What is Great Lakes Cardiovascular Thoracic Surgery, Plc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since August 22, 2006

7901 S 12TH ST, SUITE 201, PORTAGE, MI 49024(269) 372-8687 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Great Lakes Vein Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES VEIN CENTER (NPI 1487760427) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Portage, Michigan and active in the NPI registry since August 2006. The organization lists George Joseph Mack, President, as its authorized official.

NPPES Registry Identity

NPI1487760427

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameGREAT LAKES CARDIOVASCULAR THORACIC SURGERY, PLC

Location Address7901 S 12TH ST, SUITE 201Portage, MI 49024-3831

Mailing Address7901 S 12th St, Suite 201Portage, MI 49024-3831 · (269) 372-8687

Phone(269) 372-8687

Organization SubpartNo

Authorized OfficialGeorge Joseph MackPresident · (269) 372-8687

Enumeration DateAugust 22, 2006

Last NPPES UpdateNovember 13, 2007

✔ NPI 1487760427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in MI · 5101009076

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

7901 S 12TH ST, Portage, MI 49024

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Other Names 1

Doing Business AsGreat Lakes Vein Center

Other Identifiers 1

Medicare PIN0P35660MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL C NAVE MD

Specialist

7901 S 12TH ST, SUITE 100
PORTAGE, MI 49024

Kalamazoo County (269) 372-3000

JONATHAN NYKAMP FNP

Nurse Practitioner (Family)

7901 S 12TH ST
PORTAGE, MI 49024

Kalamazoo County (269) 978-0444

ALAN S MESSINGER MD

Plastic Surgery

7901 S 12TH ST, SUITE 100
PORTAGE, MI 49024

Kalamazoo County (269) 372-3000

ALAN L STEPHENS MD

Plastic Surgery

7901 S 12TH ST, SUITE 100
KALAMAZOO, MI 49024

Kalamazoo County (269) 372-3000

KIMBERLY CAROL CLARK B.S. CMT

Specialist

7901 S 12TH ST, SUITE 200
PORTAGE, MI 49024

Kalamazoo County (269) 720-6833

BRYAN DALE VISSER MD

Physical Medicine & Rehabilitation

7901 S 12TH ST, SUITE #200
PORTAGE, MI 49024

Kalamazoo County (269) 372-7200

ALFONSO EMANUEL F RODRIGUEZ PT

Physical Therapist

7901 S 12TH ST, SUITE #200
PORTAGE, MI 49024

Kalamazoo County (269) 372-7200

KELLY RENEE CAMPBELL OT

Occupational Therapist

7901 S 12TH ST, SUITE #200
PORTAGE, MI 49024

Kalamazoo County (269) 372-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Cardiovascular Thoracic Surgery, Plc's NPI number?

The NPI number for Great Lakes Cardiovascular Thoracic Surgery, Plc is 1487760427. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as Great Lakes Vein Center.

Where is Great Lakes Cardiovascular Thoracic Surgery, Plc located?

Great Lakes Cardiovascular Thoracic Surgery, Plc is located at 7901 S 12th St Suite 201, Portage, MI 49024. The listed phone number is (269) 372-8687.

What is Great Lakes Cardiovascular Thoracic Surgery, Plc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Cardiovascular Thoracic Surgery, Plc was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.